Page 44 - tmp
P. 44

$2,000 rollover example







                                         First qualifying year

                                         A member has one cleaning, one regular exam and a total of $300 in paid claims,
                                         which is less than the threshold limit.  Therefore, the member earns a $400
                                         rollover benefit that is added to the rollover account.


                                         Benefit in year two

                                          Annual          Rollover          Total annual maximum
                                          maximum         account           with rollover
                                          $2,000   +      $400   =          $2,400


                                         The member has one cleaning, one regular exam and a total of $300 in paid claims,
                                         which is less than the threshold limit.  Therefore, the member earns another $400
                                         rollover benefit that is added to the rollover account.


                                         Benefit in year three

                                          Annual          Rollover          Total annual maximum
                                          maximum         account           with rollover
                                          $2,000   +      $800   =          $2,800

                                         The member has one cleaning, one regular exam and a total of $2,200 in paid
                                         claims, which is over the threshold limit.  He or she will not earn a rollover benefit,
                                         but is able to use the benefit earned in previous years to help pay the $2,200 in
                                         claims.  Also, because the entire $800 rollover benefit is not used, $600 will remain
                                         in the rollover account.


                                         Benefit in year four

                                          Annual          Rollover          Total annual maximum
                                          maximum         account           with rollover
                                          $2,000   +      $600   =          $2,600
         ColonialLife.com
                                         The member has $2,600 available to use in this year because of the $2,000 regular
                                         annual maximum plus $600 in remaining rollover benefit.









                                         This information is not intended to be a complete description of the insurance coverage available. The policy or its provisions may vary

                                         or be unavailable in some states. The policy has exclusions and limitations which may affect any benefits payable. For complete details
                                         of coverage and availability, please refer to Policy Form IDN8000 or contact your Colonial Life benefits counselor.
                                         ©2018 Colonial Life & Accident Insurance Company. All rights reserved. Colonial Life is a registered trademark and marketing brand
                                         of Colonial Life & Accident Insurance Company. Underwritten by Colonial Life & Accident Insurance Company, Columbia, SC.

                                                                                                                1-18  |  101854
   39   40   41   42   43   44   45   46   47   48   49